Individual
TAMAR FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GENETIC COUNSELOR
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10034
(212) 305-6731
(212) 305-9058
Mailing address
1475 PALISADE AVE APT 201, TEANECK, NJ 07666
(201) 906-5264
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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